Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $2,190.00 / $8,294.00	Facility		$133.97	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $113.51 / $173.33	Professional		$60.54	$113.51	$173.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $71.13 / $117.59	Professional		$55.62	$71.13	$117.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.43 / $106.69 / $176.39	Professional	50	$83.43	$106.69	$176.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $71.73 / $910.00	Professional		$66.17	$71.73	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $420.00	Facility		$105.08	$105.08	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $123.53 / $233.62	Professional		$64.55	$123.53	$233.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $164.21 / $194.06	Professional		$127.44	$164.21	$194.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $129.38 / $226.94	Facility		$67.44	$129.38	$226.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $219.62 / $272.19 / $529.60	Facility	50	$219.62	$272.19	$529.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $185.75 / $235.55	Professional		$139.00	$185.75	$235.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $91.43 / $590.98	Facility		$62.96	$91.43	$590.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $178.74 / $603.41	Professional		$129.10	$178.74	$603.41
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.87 / $245.15	Professional		$91.20	$151.87	$245.15